glokomw bwry jwxkwri ivsw vsqu glokomw bwry quhwfi A`K ikvyn kmmm krdi hy

Transcription

1 RCOphth

2 glokomw bwry jwxkwri ivsw vsqu glokomw bwry kwrn glokomw diaw v`k v`k iksmw prwiemri Epn AYNgl glokomw AikaUt klozr glokomw AOkulr hweiprtynsn G`t qxwau vwlw glokomw sykmfri glokomw ifvylpmyntl glokomw glokomw di ingrwni Aqy hspqwl diaw PyrIAW quhwfy glokomw ivc qbdiliaw nij`txw lwbdwiek smprk AsIN quhwfi PIfbYk di kdr krdy hw jwxkwri sroq hor jwxkwri glokomw bwry glokomw A`K diaw aunhw ibmwriaw dy gru`p num ikhw jwdw hy ijnhw kwrn nzr vwli ns Bwv nrv dw nukswn ho jwdw hy Aqy ies nwl quhwfi nzr qy Asr pyndw hy[ glokomw nwl nzr vwli ns aus jghw qon Krwb ho jwdi hy ij`qon ieh quhwfi A`K qon A`gy jwdi hy[ quhwfi A`K ikvyn kmmm krdi hy jd qusin iksy ciz v`l dykdy ho, qw rosni quhwfi A`K dy Agly ih`sy ivcon lmgdi hy, Aqy ieh quhwfi A`K dy ic`ty pvdy Aqy ly~nz rwhin ryitnw au`pr kynidrq humdi hy[ ryitnw iek nwzk itsu hy jo rosni dw Asr kbuldw hy Aqy ieh rosni num ibjlei ieswiraw Bwv ielyktrikl isgnlw ivc qbdil krdw hy[ nsw XwxI nrvz dw iek nwzk ny~tvrk quhwfy ryitnw dy v`k v`k BwgW qon ienhw ieswiraw num nzr vwli ns Bwv AOpitk nrv rwhin idmwg num Byjdw hy[ quhwfw idmwg ienhw ieswiraw num smjdw hy ijs nwl qusin Awpxy Aws pws di duniaw dyk skdy ho[ ijs sqwn qy ieh ns quhwfi A`K num C`fdI hy ausnum AOpitk ifsk ikhw jwdw hy[

3 kwrn glokomw dw nukswn A`K dw vidaw hoieaw dbwau jw quhwfi nzr vwli ns Bwv AOpitk nrv kwrn ho skdw hy[ jw ho skdw hy quhwfi A`K dw dbwau Awm h`d dy AMdr hovy lyikn nukswn quhwfi nzr vwli ns ivc kmzori kwrn hoieaw hovy[ bhuqy kysw ivc, v`d dbwau Aqy nzr vwli ns ivc kmzori, donhon v`k v`k h`d q`k iesdw kwrn bxdy hn[ (A`K dy dbwau dw quhwfy bl`f prysr nwl koei smbmd nhin hy) quhwfi A`K dy fyly num iek Kws qrqib ivc r`kx lei A`K num iek h`d q`k dbwau di zrurq hy qwik ieh TIk qrhw nwl kmm kr sky[ lyikn, jykr nzr vwli ns vdyry dbwau ivc Aw jwvy qw iesdw nukswn ho skdw hy[ ies nukswn di mwqrw ies g`l au~pr inrbr krdi hy ik ieh dbwau ikqnw hy Aqy ikqnw smw rihmdw hy, Aqy ki ^Un di splwei QoVHI hy jw nzr vwli ns ivc koei hor kmzori hy[ A`K dw bhuq izawdw dbwau quhwfi nzr vwli ns dw iek dm nukswn kr skdw hy[ G`t drjy dy dbwau kwrn nukswn hox num v`d smw l`gdw hy, Aqy jykr iesdw ielwj nw kiqw jwvy qw holi holi quhwfi nzr Kqm ho jwvygi[ A`K dw dbwau ikvyn vd skdw hy quhwfi A`K-puqlI di ij`li ijsnum Awiers kihmdy hn dy ip`cy sy~lw di qih (jo ik quhwfi A`K dw rmgdwr Bwg hy) iek qrl pdwrq pydw krdi hy ijsnum AYkIAs jw jli ikhw jwdw hy[ AYkIAs dw qrl quhwfi Awiers dy ivckwr vwli gli rwhin, ijsnum puqli ikhw jwdw hy, Awiers dy Agly pwsy vwli jghw, ijsnum AYNtIrIAr cynbr ikhw jwdw hy, ivky jwdw hy, Aqy ieqon bhuq CotIAW CotIAW nwliaw rwhin ijnhw num tryibkxulr my~svrk ikhw jwdw hy A`K qon bwhr clw jwdw hy[ ieh nwliaw quhwfi A`K dy Agly Bwg, ic`ty pvdy Aqy Awiers dy ivckwr vwli jghw humdiaw hn, Aqy ieh pwxi num vwps quhwfi KUn vwli nwvi ivc ly jwdiaw hn[ Awm krky, pydw hoey qrl di mwqrw bwhr gey qrl ijqni humdi hy, lyikn jykr qrl TIk qrhw nwl A`K qon bwhr nw jwvy, jw bhuq izawdw qrl pydw ho jwvy, qw quhwfi A`K dw dbwau vd jwvygw[ ies AYkIAs qrl dw hmjuaw nwl, jo quhwfi A`K dy ql au`pr pwxi hy, koei smbmd nhin hy[ glokomw diaw v`k v`k iksmw glokomw diaw cwr mu`k iksmw hn: prwiemri Epn AYNgl glokomw (POAG) ijsnum dyr vwlw glokomw krky jwixaw jwdw hy AikaUt AYNgl klozr glokomw sykmfri glokomw

4 ifvylpmyntl glokomw prwiemri Epn AYNgl glokomw sb qon v`d pwey jwx vwly glokomw di iksm prwiemri Epn AYNgl glokomw (POAG) jw dyr vwlw glokomw hy[lmby smyn di ibmwri hox kwrn iesdy Asr holi holi smw pw ky prgt humdy hn[ ies dyr vwly glokomw ivc, quhwfi A`K ivcon AYkIAs qrl aus qrhw bwhr nhin jwdw ijvyn ieh jwxw cwhidw hy Aqy ies kwrn dbwau vd jwdw hy[ ho skdw hy quhwfi A`K iblkul Awm di qrhw dykdi hovy Aqy quhwnum AwpxI nzr bdli hoei nhin l`gygi- ikaunik jd dbwau bxnw SurU humdw hy ies nwl quhwnum drd nhin humdw lyikn quhwfi nzr dw nukswn ho irhw humdw hy[ jykr quhwnum dyr vwlw glokomw hy qw quhwfi pwsy vwli nzr, jo quhwfy vlon is`dw dyki jwx vwli ciz dy Aws pws num dykdi hy, holi holi Krwb ho jwdi hy[ ikaunik quhwfi pwsy vwli nzr quhwfi ivckwrli nzr ijqni smvydnsil nhin hy, ho skdw hy quhwnum AwpxI nzr ivc koei qbdiliaw mihsus nw hovx[ pwsy vwli nzr Krwb hox dw AwrMB, jd qusin is`dw swhmxy dykdy ho quhwfi ivckwrli nzr dy QoVHw au~pr Aqy/ jw hyt iek Awrk XwxI cwp di Skl ivc hovygw[ jykr glokomw dw ielwj nw kiqw jwvy qw ieh KwlI QW AMdr Aqy bwhr donhw pwisaw num PYl jwvygw[ quhwnum idkwei dyx vwly Kyqr dw ivckwrlw Bwg sb qon bwad prbwivq humdw hy Aqy AMq ivc ieh iek lmbi itaub ivcon dykx vwg humdw hy iesnum Aksr surmgi idrsti jw tnl vizn vi ikhw jwdw hy[ jykr ies vdy hoey dbwau Aqy glokomw dw ielwj nw kiqw jwvy qw qusin ij`qy dykogy ausdy pwisaw qon Aqy au~pr Q`ly qon nhin dyk skogy Kqry dy kwrx dyr vwly glokomw dy Kqry num vdwaux dy bhuq swry kwrn hn: quhwfi aumr: ijvyn ijvyn AsIN bu`fy humdy hw dyr vwlw glokomw Awm ho jwdw hy[ 40 swl qon G`t aumr ivc ieh Awm krky nhin humdw lyikn ies iksm dw glokomw 40 swl qon v`d aumr vwly iek prqisq lokw qy Asr krdw hy[ 65 swl qon v`d aumr dy qkribn pmj prqisq lokw num prwiemri Epn AYNgl glokomw hy[ quhwfi nsl: jykr quhwfw ipcokv APrIkn hy qw quhwnum dyr vwlw glokomw hox dw Kqrw v`d humdw hy[ ies g`l di vi vdyry smbwvnw hy ik ieh QoVHI aumr ivc Aqy vdyry qibrqw nwl ho jwvy pirvwr: jykr quhwfy iksy nzdiki KUn dy irsqy vwly ivakqi num dyr vwlw glokomw hy qw quhwnum vi ieh hox dw bhuq Kqrw hy[

5 inkt idrsti: jykr qusin SOrt sweiitf ho Bwv quhwnum dur diaw cizw bhuq G`t nzr AwauNdIAW hn qw quhwnum dyr vwlw glokomw hox dw bhuq Kqrw hy[ S`kr-rog: jykr quhwnum S`kr rog Bwv SUgr di ibmwri hy qw quhwnum dyr vwlw glokomw hox dw v`d Kqrw hy[ dyr vwly glokomw dw pqw krnw quhwnum G`t qon G`t hr do swl bwad AwpxIAW A`KW tyst krwauxiaw cwhidiaw hn[ jykr qusin v`d Kqry vwly iksy gru`p ivc ho qw A`KW di inrmqr jwc krvwauxw hor vi v`d zruri hy[40 swl qon bwad glokomw v`d lokw num hox l`gdw hy[ nwl hi, jykr quhwnum pqw hy ik quhwfy pirvwr dy iksy mynbr num dyr vwlw glokomw hy qw pirvwr dy hr iek mynbr vlon AwpxIAW A`KW di puri jwc krwauxw iek cmgi g`l hy[ Awm krky hwei strit ivc A`KW tyst krn vwly AOptISn vlon dyr vwly glokomw dw pqw lgw ilaw jwdw hy[ ijhvy kwrnw krky hr do swl bwad, A`KW di inrmqr jwc krvwauxi zruri hy, aunhw ivcon iek kwrn glokomw hy[ jykr quhwfi aumr 40 swl qon v`d hy Aqy quhwfy mwipaw, b`icaw, Brw jw BYx ivcon iksy num glokomw hox dw pqw l`gw hy qw qusin nysnl hylq srivs vlon hr swl mu&q nzr tyst krvwaux dy h`kdwr ho[ jd qusin AwpxIAW A`KW tyst krvwaux lei ApuAwieMtmYNt bxwaundy ho, qw iqmnw iksmw dy glokomw dy tyst krvwaux lei kho[ glokomw dw pqw lgwaux lei kyvl iek jw do tystw di bjwie swry iqmny tyst krvwauxy vdyry Asrdwiek g`l hy[ ieh iqmny tyst bhuq Awswn hn- ienhw nwl koei drd nhin humdw Aqy ieh hwei strit dy bhuqy AOptISn kr skdy hn Aqy ieh ryitnw di jwc krdy hn, ivsys krky aus jghw di ij`qon nzr vwli ns quhwfi A`K ivcon bwhr jwdi hy ijsnum AOpitk ifsk kihmdy hn[ ieh tyst krn lei silt lynp au`pr quhwfi TofI itkw ky, Aqy jw h`q ivc AOPQwmoskop pkv ky, qyz rosni quhwfi A`K ivc pwei jwdi hy[ iek ivsys XMqr ijsnum tonomitr kihmdy hn, nwl quhwfi A`K ivc dbwau mwipaw jwdw hy[ ies ivc iek msin di vrqon kiqi jwdi hy ijs nwl dbwau irkwrf krn lei hr iek A`K ivc hvw dy p`p Bwv Prwty mwry jwdy hn[ A`K ivc dvwei diaw bumdw pw ky Aqy hor XMqr di vrqon krky jo quhwfi A`K dy Agly ih`sy num CoNhdw hy, A`K dy dbwau dw tyst kiqw jw skdw hy[ ies qriky di vrqon bhuqw krky hspqwl di klink ivc kiqi jwdi hy[ quhwfi nzr dy dwiery dw tyst kiqw jwdw hy[ ies ivc iek skrin qy lweit dy kuj itmkxy jo iek qrqib ivc humdy hn idkwey jwdy hn[ qusin d`sdy ho ik qusin iknhw itmkixaw num dyk skdy ho[

6 jykr AOptISn num pqw l`gy ik quhwfy tyst dy nqiijaw num imlw ky pqw l`gdw hy ik quhwnum glokomw hy, jw ieh hox di smbwvnw hy, qw auh Awm krky quhwnum hspqwl ivc A`K dy mwihr fwktr kol Byj dyvygw jo quhwfy glokomw dw pqw lgw ky lovindw ielwj SurU kr dyvygw[ dyr vwly glokomw dw ielwj glokomw dy swry ielwjw dw audys quhwfi nzr num hor nukswn hox qon bcwauxw hy[ lyikn, ielwj nwl auh nukswn TIk nhin hovygw jw Gtygw nhin jo v`d dbwau dw pqw l`gx qon pihlw ies kwrn ho cu`kw hovygw[ dyr vwly glokomw dy ielwj dw audys quhwfi A`K ivc dbwau num G`t krnw hy[ kei ielwjw dw inswnw nzr vwli ns num ^Un di splwei vdwauxw vi hy[ koei vi ielwj krn qon pihlw quhwnum A`K dy mwihr fwktr num dykxw pvygw Aqy ieh g`l XkInI bxwaux lei ik ielwj TIk ho irhw hy quhwnum lgwqwr jwc krvwaux di lov hy[ quhwfi A`K dy dbwau num G`t krn dw ielwj Awm krky A`K ivc dvwei diaw bumdw pwaux nwl SurU humdw hy[ ieh dvwei quhwfi A`K ivc bxn vwly qrl num G`t krdi hy jw qrl num bwhr iljwx vwliaw nwliaw num KolHdI hy qwik vwdu qrl bwhr clw jwvy[ bhuqy kysw ivc, ieh bumdw quhwfi A`K dy dbwau num G`t krdiaw hn Aqy dbwau num siqr r`kdiaw hn jo quhwfi A`K num hor nukswn hox Aqy nzr kmzor hox qon bcwau krdiaw hn[ kuj kysw ivc, ho skdw hy quhwfy vlon pweiaw geiaw pihliaw bumdw Asr nw krn jw ienhw dy sweif iepykts Bwv Axcwhy Asr hox lyikn jykr Aijhw humdw hy qw quhwfw A`K dw mwihr fwktr quhwfy lei hor bumdw di qlws krygw[ glokomw nwl nzr bmd hox qon bcx lei quhwfy A`K dy mwihr fwktr vlon d`sy Anuswr A`K ivc dvwei diaw bumdw pwauxw bhuq zruri hy[ BwvyN ik bumdw pwaux nwl quhwnum AwpxI nzr ivc koei &rk mlum nhin hovygw, lyikn ieh quhwfi nzr bmd hox qon bcwau krngiaw[ swriaw dvweiaw vwg, kuj iek bumdw dy Axcwhy Asr Bwv sweif iepykts hn, lyikn ieh kyvl bhuq QoVHy lokw num humdy hn Aqy ienhw Axcwhy AsrW dw Kqrw d`sy gey Anuswr bumdw nw pwaux krky nzr cli jwx dy Kqry di qulnw ivc bhuq QoVHw hy[ jykr bumdw pwaux nwl quhwnum koei sm`isaw pys AwauNdI hy qw quhwnum ijqni jldi ho sky Awpxy A`K dy mwihr fwktr num d`sxw cwhidw hy ikaunik ho skdw hy quhwfy lei bdlviaw bumdw iml skx[ kuj lokw num gtiaw Awid kwrn h`q ihlwaux ivc muskl di vjhw krky bumdw pwaux ivc sm`isaw pys Aw skdi hy[ bhuq swriaw bumdw gyijts Bwv iek Coty XMqr nwl pweiaw jw skdiaw hn ijnhw nwl boqlw AwswnI nwl

7 pkviaw jw skdiaw hn[ jykr qusin smjdy ho ik A`K ivc dvwei pwaux ivc quhwnum kwpi sm`isaw pys AwvygI qw quhwnum Awpxy ji pi num d`sxw cwhidw hy, ikaunik ho skdw hy auh quhwfy lei shwieqw dw prbmd kr skx[ kdy kdwein, bumdw nwl A`K dw dbwau jldi nhin Gtdw jw ienhw dw auqnw Asr nhin humdw ijqnw quhwfw A`K dw mwihr fwktr cwhumdw hy[ jykr AijhI siqqi hy qw quhwfw A`K dw mwihr fwktr quhwfi A`K ivcon AYkIAs qrl dy inkws num vdwaux lei lyzr nwl ielwj dw sujw dyvygw jw tryibikxuulktomi nwm dw EprySn krvwaux lei khygw[ lyzr nwl ielwj A`K dy dbwau num kmtrol krn vwsqy lyzr EprySn diaw do mu`k iksmw hn: lyzr trwibkxuloplwsti lyzr ieirfotmi lyzr nwl kiqy jwx vwly ielwj bhuq kwmxwb hn[lyzr trwibkxuloplwsti tryibkxulr my~svrk num vdyry kuslqw nwl kmm krn lei auqyjq krky AYkIAs qrl dy inkws num vdwaux ivc mdd krdi hy[lyzr trwibkxuloplwsti dyr vwly glokomw vwly lokw lei vdyry Awm kiqw jwx vwlw lyzr ielwj hy[ bdlvw ielwj lyzr ieirfotmi hy ijs nwl quhwfi A`K dy Agly Bwg ivc nvin inkws nwli bxwei jwdi hy[ ieh nvin nwli Awm krky quhwfi A`K di puqli di ij`li XwxI Awiers dy au`pr bxwei jwdi hy qwik AYkIAs qrl ies nwli rwhin vi bwhr jw sky[lyzr ieirfotmi nwl kei vwr dyr vwly glokomw dw ielwj kiqw jwdw hy lyikn iesdi vdyry vrqon klozf AYNgl glokomw di rokqwm vwsqy kiqi jwdi hy[ lyzr nwl kiqw jwx vwlw donhw qrhw dw ielwj dbwau num G`t krdw hy Aqy kyvl iek vwr krn di lov hy lyikn kei vwr iesnum dubwrw krn di lov vi py skdi hy[ ieh kyvl Cotw ijhw EprySn humdw hy ijsqon bwad qusin bhuq jldi TIk ho jwdy ho[ Awm krky ieh A`K num nm krky Awaut pysynt klink ivc kiqw jwdw hy ijs vwsqy quhwnum hspqwl ivc nhin rihxw pyndw[ A`K dy dbwau num siqr r`kx lei quhwnum Awm krky lyzr dy ielwj qon bwad lmby smyn lei glokomw lei bumdw di vrqon krni pvygi[ tryibikxuulktomi EprySn jykr A`K diaw bumdw Aqy lyzr ielwj nwl quhwfi A`K dw dbwau nhin Gtdw hy Aqy ieh v`d rihmdw hy qd tryibikxuulktomi EprySn bwry ivcwr kiqw jw skdw hy[

8 glokomw vwly kyvl pmj prqisq lokw num tryibikxuulktomi EprySn di lov pyndi hy[ ieh EprySn quhwfi A`K ivc iek nvin, sqwei inkws nwli bxwaundw hy Aqy dbwau num G`t krdw hy[ nvin nwli quhwfi A`K dy au`prly C`pr dy Q`ly ic`ty Bwg, sklirw, ivc bxwei jwdi hy[ ies EprySn qon bwad Awm krky glokomw vwliaw bumdw pwaux di lov nhin pyndi lyikn quhwfi A`K dw mwihr fwktr quhwnum d`sygw ik quhwfy lei ki krnw TIk hovygw[ quhwfw mwihr fwktr quhwfy nwl ieh ivcwr krygw ik quhwfi A`K dw dbwau G`t krn Aqy iesnum siqr r`kx lei ikhvw qrikw TIk rhygw, bumdw, lyzr ielwj jw EprySn[ AikaUt AYNgl klozr glokomw AikaUt glokomw dyr vwly glokomw nwlon bhuq G`t lokw ivc pwieaw jwdw hy[ AikaUt AYNgl klozr glokomw aus vyly humdw hy jd quhwfi A`K ivcon jwx vwly AYkIAs qrl dw inkws iek dm Aqy puri qrhw ruk jwdw hy[ ieh qkribn hmysw kwpi drd krdw hy Aqy jykr iesdw jldi nwl ielwj nw kiqw jwvy qw ies nwl quhwfi nzr dw sdw vwsqy nukswn ho jwdw hy[ AikaUt AYNgl klozr glokomw ivc, quhwfi A`K ivc dbwau bhuq qyzi nwl vd jwdw hy[ Aijhw hox dw kwrn ieh hy ik Awiers dw bwhrlw Bwg Aqy A`K dw Aglw Bwg XwxI ic`tw pvdw iek dusry nwl juv jwdy hn, ijs nwl tryibkxulr my~svrk rwhin bwhr jwx vwly AYkIAs qrl dw Awm humdw inkws ruk jwdw hy[ Aijhw iek jw donhw A`KW ivc ho skdw hy lyikn ieko vyly donhw A`KW ivc iesdw hmlw hox di smbwvnw bhuq G`t humdi hy[ AikaUt glokomw dy l`cx SurU SurU ivc quhwnum ic`tiaw lweitw dy duawly DuMdly sqrmgy c`kr idkwei dyxgy[ lyikn bhuqy lokw lei A`K ivc dbwau dw iekdm vd jwxw bhuq drdnwk ho skdw hy[ prbwivq A`K lwl ho jwdi hy, nzr Gt jwdi hy Aqy qusin byhos ho skdy ho[ qusin kicawhx vi mihsus kr skdy ho Aqy quhwnum aulti Aw skdi hy[ AikaUt glokomw iek AYmrjYNsI hy Aqy nzr bcwaux lei iesdw ielwj qurmq krn di lov hy[ kei lokw num iesdy, Aksr Swm vyly, kei swry m`dm dory py skdy hn[nzr DuMdlI ho skdi hy ijs ivc ic`ti rosni dy duawly rmgdwr c`kr idkwei idmdy hn Aqy A`K ivc kuj drd ho skdw hy[ jykr qusin smjdy ho ik quhwnum m`dm dorw py irhw hy qw qusin jldi qon jldi AwpxIAW A`KW dw tyst krwe Aqy Awpxy AOptISn num ienhw l`cxw bwry d`so[

9 kuj lokw diaw A`KW ivc A`K dy ic`ty pvdy Aqy A`K-puqlI di ij`li ivckwrlw kon bhuq Cotw humdw hy, ijs nwl aunhw ivc klozf AYNgl glokomw hox dw Kqrw vd skdw hy[ quhwfw AOptISn quhwfiaw A`KW dw tyst krdy smyn iesdw pqw lgw skdw hy Aqy hor tystw Aqy ielwj lei quhwnum hspqwl Byj skdw hy BwvyN ik quhwfy kol AikaUt glokomw dy l`cx nw vi hox[ AikaUt glokomw dw ielwj jykr quhwfi ibmwri dw smyn isr pqw l`g jwvy Aqy ielwj ho jwvy qw, qw quhwfi nzr qkribn puri qrhw vwps Aw jwvygi[ ielwj ivc dyri nwl ibmwri vwli A`K di nzr hmysw lei Krwb ho skdi hy[jykr quhwnum qyz dorw ipaw hy qw quhwnum qurmq hspqwl jwxw cwhidw hy qwik A`K dw dbwau Aqy drd GtwieAw jw sky[ quhwnum dvwei id`qi jwvygi, ijs nwl quhwfi A`K AYkIAs qrl di mwqrw G`t pydw krygi Aqy nwl hi ieh drd G`t krn lei iesdy inkws num vdweygi[ qyz dory dw, jykr qurmq ielwj ho jwvy qw, kuj GMitAW ivc ies au~pr kwbu pwieaw jw skdw hy[ quhwfi A`K vdyry Awrwm mihsus krygi Aqy nzr vwps Awaux l`gygi[ ho skdw hy EprySn vwlw fwktr qrl num bwhr k`fx lei quhwfi A`K-puqlI di ij`li Bwv Awiers dy bwhr vwly pwsy iek CotI gli krn dw sujw dyvy[ ieh Awm krky lyzr ieirfotmi nwl (ijs bwry pihlw lyzr nwl ielwj vwly Bwg ivc d`isaw jw cu`kw hy) jw iek Coty EprySn nwl kiqi jwdi hy[ Awm krky srjn quhwfi dusri A`K di vi lyzr ieirfotmi krvwaux di slwh idmdw hy ikaunik ies num vi ieh ibmwri hox dw bhuq Kqrw humdw hy[ ieh ielwj drdnwk nhin hy[ ieh g`l hwlwq Aqy ielwj dy Asr qy inrbr hy, ies g`l di smbwvnw nhin ik quhwnum hspqwl ivc rihxw pvy[ kdy kdy, A`K dw dbwau kuj v`d rihmdw hy Aqy dyr vwly glokomw vwly ielwj di lov pyndi hy (dyr vwly glokomw vwly Bwg ivc pihlw ies bwry vdyry jwxkwri id`qi gei hy)[ BwvyN ik ielwj nwl dbwau Gt ky qkribn Awm vrgw ho jwdw hy quhwnum glokomw kwbu ivc r`kx lei A`K ivc dvwei diaw bumdw pwaundy rihx di lov py skdi hy[ ki AikaUt glokomw roikaw jw skdw hy? ho skdw hy kuj lokw kol AikaUt glokomw dy l`cx nw hox jw bhuq m`dm l`cx hox lyikn aunhw diaw A`KW di jwc vyly kon bhuq qmg pwey jwx[ ienhw hwlqw ivc, A`K dw mwihr fwktr AikaUt AtYk Bwv qyz dorw pyx qon rokx lei EprySn di slwh

10 dy skdw hy[ jykr quhwfi iek A`K qy AikaUt glokomw dw AtYk ho cu`kw hy, qw Biv`K ivc sm`isawvw qon bcx lei Awm krky dusri A`K dw vi EprySn kr id`qw jwvygw[ AOkulr hweiprtynsn AOkulr hweiprtynsn XwxI A`K dy v`d qxwau dw ArQ hy A`K AMdr dbwau dw v`d hoxw[ swfy swiraw di A`K ivc dbwau humdw hy ikaunik ies nwl A`K ishqmmd rihmdi hy Aqy ieh A`K num shi qrqib ivc r`kx ivc shwieqw krdw hy[ bhuqy lokw di A`K dw dbwau mmhg (AY~m AY~m AY~c ji) dy ivckwr humdw hy[ kei vwr A`K dw dbwau ies dwiery qon QoVHw v`d jw G`t ho skdw hy, jo ik Awm g`l hy Aqy ies vwsqy quhwfi A`K dw ielwj krn di lov nhin hy[a`k dw dbwau kudrqi QoVHw au`pr jw Q`ly ho skdw hy lyikn ieh quhwfy bl`f prysr nwl nhin vddw[ ies lei, A`K dy v`d dbwau jw glokomw dw kwrn stry~s XwxI qxwau nhin hy[ jykr quhwfi A`K dw dbwau 22 mmhg (AY~m AY~m AY~c ji) qon v`d hy qw Awm krky quhwnum d`isaw jwvygw ik quhwnum AOkulr hweiprtynsn hy[ ieh glokomw hox vwg nhin hy[ glokomw hox dw ArQ ieh hy ik quhwfi A`K ivcly dbwau kwrn quhwfi nzr vwli ns dw kuj nukswn ho cu`kw hy lyikn AOkulr hweiprtynsn dw ArQ hy ik quhwfi A`K dw dbwau v`d hy prmqu ies nwl quhwfi nzr vwli ns dw nukswn nhin hoieaw hy[ nysnl hylq srivs vlon A`KW dw tyst krn vwly AOptISnW num ry&rl vwsqy id`qiaw geiaw sydw ivc qbdili kwrn, hspqwlw ivc v`d lokw num AOkulr hweiprtynsn hox di S`k kwrn dyikaw jwdw hy[aokulr hweiprtynsn vwly hr iek ivakqi num glokomw nhin hovygw jw ielwj di lov nhin pvygi, lyikn kuj iek num ieh lov pvygi[aokulr hweiprtynsn dw ielwj dyr vwly glokomw vwg hi dvwei diaw bumdw nwl kiqw jwdw hy Aqy ies vwsqy quhwfi A`K di hspqwl ivc inrmqr jwc kiqi jwxi cwhidi hy[ G`t qxwau vwlw glokomw G`t qxwauu, jw Awm qxwauu vwly glokomw, dw ArQ hy ik quhwfi nzr vwli ns dusriaw iksmw vwly glokomw vwg nukswni jwdi hy lyikn quhwfi A`K dw dbwau Awm dwiery dy AMdr humdw hy[ jykr quhwfy kol G`t qxwau vwlw glokomw hy qw quhwfi nzr bcwaux lei quhwfi A`K dy dbwau num G`t krn di lov hy[ G`t qxwau vwly glokomw dw ielwj ausy qrhw kiqw jwdw hy ijvyn v`d dbwau kwrn hox vwly glokomw dw[ quhwfw mwihr fwktr ieh &Yslw krygw ik quhwfi A`K dy dbwau dw ikhvw p`dr quhwfy lei TIk rhygw[

11 sykmfri glokomw A`K diaw hor ibmwriaw, EprySnW, s`tw jw dvweiaw nwl vi A`K AMdr dbwau vd skdw hy[ ies nwl nzr dw nukswn ho skdw hy Aqy jd Aijhw humdw hy qw iesnum sykmfri glokomw kihmdy hn[ hr iek hwlq ivc ielwj dw mksd hmysw dbwau num Gtwauxw Aqy nwl hi iesdy kwrn num dur krnw humdw hy[ jykr quhwfy kol ies iksm dw glokomw hy qw quhwfw mwihr fwktr iesdy ielwj dy qriky bwry quhwfy nwl g`lbwq krygw[ ifvylpmyntl glokomw ifvylpmyntl jw jmwdru glokomw bhuq G`t humdw hy Aqy ieh Coty b`icaw au~pr Asr krdw hy[ iesdw Awm krky bcpn ivc pqw l`g jwdw hy Aqy iesdw ielwj spysl klinkw ivc kiqw jwdw hy[ glokomw dw idawn r`kxw Aqy hspqwl diaw PyrIAW jykr quhwfiaw A~KW ivc glokomw pwieaw igaw hy qw SurU ivc quhwnum jldi jldi hspqwl jwx di lov py skdi hy[ ieh ies krky hy ikaunik quhwfw A`KW dw mwihr fwktr ieh dykxw cwhygw ik quhwfy ielwj dw Asr ho irhw hy Aqy quhwfi A`K dw dbwau quhwfy vwsqy TIk h`d ivc hy Aqy ieh siqr hy[ jykr quhwfi A`K dw dbwau siqr rihmdw hy Aqy quhwnum ielwj nwl koei muskl pys nhin Aw rhi qw qusin jwc vwsqy dyr nwl jw skdy ho[ smw pw ky ho skdw hy quhwnum hr 6 jw 12 mhiny bwad dykx di lov pvy[ lyikn, ieh bhuq zruri hy ik qusin ieh g`l XkInI bxwaux lei, ienhw ApuAwieMtmYNtW qy jwe ik quhwfi A`K dw dbwau siqr rihmdw hy, ikaunik quhwnum dbwau ivc hox vwliaw qbdiliaw dw pqw nhin l`gygw, Aqy jykr quhwfy ho rhy ielwj dw Asr nhin ho irhw qw quhwfi nzr hmysw vwsqy v`d kmzor ho skdi hy[ hr iek PyrI vyly, quhwfi A`K dy dbwau num mwipaw jwvygw, quhwfi nzr dy dwiery dw tyst kiqw jwvygw Aqy dvwei diaw bumdw nwl quhwfi puqli num v`fw krky quhwfi A`K dy ipcly Bwg di jwc kiqi jwvygi[ pweiaw geiaw ienhw bumdw dw Asr Awm krky Cy GMitAW ivc Kqm ho jwvygw, lyikn kei vwr ieh rwq Br lei rih skdw hy[ jd q`k ienhw bumdw dw Asr Kqm nhin ho jwdw, frweiivmg krnw sur`ikaq nhin hy[ glokomw di ingrwni krn vwsqy nzr dy Kyqr dw tyst aus skriinmg tyst nwlon v`d ivsqwr ivc kiqw jwdw hy jo quhwfw AOptISn krdw hy[ hr iek A`K dy kuj iek tystw num 10 immt l`g skdy hn Aqy ieh aukqw dyx vwly ho skdy hn[ ieh

12 zruri hy ik qusin ienhw lei iqawr rho ikaunik shi tystw nwl A`K dw mwihr fwktr quhwfy ielwj bwry shi &Yslw kr skdw hy[ quhwfy glokomw ivc qbdiliaw glokomw vwly bhuqy lokw num dvwei diaw bumdw kei swl jw jivn Br pwauxiaw pyndiaw hn[ bwkwiedw dvwei pwaux nwl quhwfi A`K dw dbwau kwbu ivc r`kx Aqy quhwfi nzr num hox vwly nukswn num G`t r`kx ivc mdd imldi hy[ dvwei nw pwaux nwl, lmby smyn bwad, quhwfw glokomw AsiQr ho jwvygw Aqy is`ty vjon quhwfi nzr hmysw vwsqy bmd ho jwvygi, ikaunik glokomw nwl gvwci nzr dubwrw vwps nhin AwauNdI[ jd qusin lmbw smw iek dvwei pwaundy ho qw ho skdw hy ieh pihlw vwg Asr krn qon ht jwvy, jw quhwfy AMdr ies dvwei lei sukmqw pydw ho jwvy[ hspqwl vwly quhwfiaw inrmqr ApuAwieMtmYNtW dorwn quhwfw idawn r`kxgy Aqy, jykr lov pvy qw, quhwfy lei v`kri dvwei, jw hor ielwj qjviz krngy[ nij`txw A`K ivc nuks dw pqw l`gxw bhuq dukdwei g`l ho skdi hy[ qusin Awpxy Biv`K bwry i&kr kr skdy ho ik nzr ivc AweI qbdili kwrn quhwfw jivn iks qrhw dw hovygw[ Aijhw mihsus krnw kudrqi g`l hy[ ho skdw hy kuj lok Awpxy pirvwr jw dosqw qon ielwvw iksy bwhrly nwl AijhIAW BwvnwvW bwry g`l krnw cwhumdy hox[ roiel nysnl iemstiicaut Aw& blwiemf pipl AwpxI hylplwein Aqy iemosnl sport srivs rwhin mdd kr skdi hy[ jykr qusin smjdy ho ik ieh PwiedymMd rhygw qw quhwfw ji pi jw sosl vrkr quhwfy nwl g`lbwq krn vwlw slwhkwr ivakqi l`bx ivc quhwfi mdd kr skxgy[ cizw num sp`st dykx ivc shwieqw glokomw dw jldi pqw l`gx Aqy ielwj hox nwl Awm krky hor nukswn hoxon ruk jwdw hy jw Gt jwdw hy[ jykr quhwfi nzr Gt gei hy qw bhuq swry Aijhy nukqy hn ijnhw di vrqon nwl qusin AwpxI bci hoei nzr dw v`d qon v`d lwb ly skdy ho[ ies ivc cizw num v`fy Awkwr diaw bxwauxw, qyz rosni di vrqon krnw jw cizw num AwswnI nwl dyk skx lei rmgw di vrqon krnw Swml hy[ quhwnum Awpxy A`K dy mwihr fwktr, A`K tyst krn vwly fwktr jw ji pi kolon kmzor nzr vwilaw di shwieqw lei bxiaw cizw bwry pqw krnw cwhidw hy Aqy ieh vi pqw kro ik ki qusin sweit iempyarf XwxI QoVHI nzr vwly vjon jw

13 sviarli sweit iempyarf Bwv AMDy ivakqi vjon Awpxw nwm rijtr ivc drj krvw skdy ho[ ieh rijstrysn quhwfy lei mwihrw kolon shwieqw lyx Aqy kei vwr mwiek lwb lyx lei iek primt vjon kmm kr skdi hy[ jykr quhwfw nwm rijstr nhin vi hoieaw qd vi quhwnum bhuq swri shwieqw iml skdi hy[ sqwnk sosl srivisz vwly vi quhwnum Awpxy Gr ivc sur`ikaq rihx Aqy bwhr sur`ikaqw nwl jwx bwry jwxkwri dy skdy hn[ auh bwhr jwx vyly quhwfw AwqmivSvws vdwaux lei c`lx iprn di AmlI isklwei vi dy skdy hn[ swfi hylplwein dy tylipon nmbr qon quhwnum kmzor nzr vwilaw diaw klinkw Aqy sosl srivisz kolon imlx vwli shwieqw bwry jwxkwri iml skdi hy[ jykr quhwnum ienhw syvwvw q`k phumcx lei koei muskl pys AwauNdI hy qw auh quhwnum slwh dy skdy hn[ swfi vy~bsweit qon quhwnum AwpxI bdli hoei nzr Anuswr Awpxy Awp num iesdy AnukUl bxwaux bwry kwpi swri AmlI jwxkwri Aqy quhwfy rozwnw jivn dy kmmw num sokw bxwaux bwry bxiaw cizw bwry jwxkwri iml skdi hy[ frweiivmg jykr nzr dy Kyqr dw bhuqw nukswn nhin hoieaw hy qw bhuqy lok lmby smyn lei frweiivmg krnw jwri r`k skdy hn, lyikn kwnumni qor qy quhwnum nzr qy Asr pw skx vwli ibmwri bwry d`sx di lov hy[ jykr quhwfiaw donhw A`KW ivc glokomw pwieaw igaw hy kyvl qd hi quhwnum frweivr AYNf vihikl lweisynismg eyjmsi (DVLA) num d`sx di lov hy[frweivr AYNf vihikl lweisynismg AQwirtI ieh jwc krn lei lgwqwr tyst kr skdi hy ik quhwfy lei frweiivmg krnw sur`ikaq hy[ quhwfi pwsy di nzr num ho skx vwly nukswn di jwc krn lei, quhwfw spysl tyst kiqw jwvygw qwik ieh pqw kiqw jw sky ik ki quhwfi nzr frweivr AYNf vihikl lweisynismg eyjmsi dy imawrw au~pr purw au~qrdi hy[ ies bwry Awpxy mwihr fwktr num pu`co[ qusin frweiivmg bwry iemtrnysnl glokomw AYsosIeySn (IGA) vlon CipAw li&ly~t ly skdy ho[iemtrnysnl glokomw AYsosIeySn jwxkwri dy ky mrizw di shwieqw krdi hy, qwik auh Awpxy ielwj ivc purw sihxog dy ky nzr dw nukswn hox qon bcwau kr skx[ ieh glokomw dw jldi pqw lgwaux lei ies bwry jwxkwri vdwaundi hy, Aqy shwieqw qy Koj krdi hy [

14 lwbdwiek smprk roiel nysnl iemstiicaut Aw& blwiemf pipl 105 Judd Street, London WC1H 9NE tylipon: eimyl: vy`bsweit: roiel koilj Aw& AOPQwmoloijst 17 Cornwall Terrace, London NW1 4QW tylipon: vy`bsweit: iemtrnysnl glokomw AYsosIeySn (IGA) Woodcote House, 15 Highpoint Business Village, Henwood, Ashford, Kent TN24 8DH sweitlwein: vy`bsweit: frweivr AYNf vihikl lweisynismg eyjmsi (DVLA) frweivrz kstmr srivisz (DCS) Correspondence Team DVLA Swansea SA6 7JL tylipon: vy`bsweit: d pwrsiali sweiitf suswieti 7/9 Bennetthorpe, Doncaster DN2 6AA tylipon:

15 AsIN quhwfi PIfbYk di ksr krdy hw AsIN ieh ruci r`kdy hw ik ies jwxkwri bwry quhwfy ki ivcwr hn, jykr quhwnum ieh pqw l`gw hy ik ies jwxkwri ivc kuj g`lw Swml nhin hn, jw jykr koei hor g`l hy ijs bwry qusin swnum d`sxw cwhumdy ho[ jykr qusin swnum PIfbYk dyxw cwhumdy ho, qw ikrpw krky swnum ies pqy qy eimyl kro: jw AwpxI PIfbYk hyt ilky pqy a~upr Byjo[ (quhwnum ic`ti au`pr itkt lgwaux di lov nhin) FREEPOST RSCB-GJHJ-HLXG, RNIB Publishing, 105 Judd Street, London WC1H 9NE. jwxkwri dy sroq AsIN ieh g`l XkInI bxwaux lei puri koiss krdy hw ik AsIN ijhvi jwxkwri idmdy hw ayuh shi, nvin Aqy qwzw Koj Aqy muhwrq dy Anuswr hovy[ roiel nysnl iemstiicaut Aw& blwiemf pipl vlon id`qi gei jwxkwri lvi ivc ienhw sroqw di vrqon kiqi gei hy: roiel koilj Aw& AO&Qwmoloijst gweiflweinz Pwr tritmynt irivau swihq rwhin prwpq klinkw di Koj Aqy AiDAYn ivakqigq ibmwriaw bwry ivsys sport gru`pw vlon prkwisq jwxkwri imawri ikqwbw qon imli jwxkwri roiel nysnl iemstiicaut Aw& blwiemf pipl diaw ikqwbw Aqy Koj qon imli jwxkwri ies gweif num iqawr krn lei vrqy gey hvwilaw Aqy jwxkwri di puri suci lyx lei ies pqy qy eimyl kro: hor jwxkwri ieh jwxkwri lvi quhwfy lei, quhwfy dosqw Aqy pirvwr lei quhwfi A`K di ibmwri bwry QoVHw hor smjx ivc mdd krn lei iqawr kiqi gei hy[ swfi vy~bsweit qon jwxkwri vwly hyt ilky ikqwbcy fwaunlof kiqy jw skdy hn:

16 moqiaw ibmd bwry jwxkwri S`kr rog nwl smbmidq A`K diaw ibmwriaw bwry jwxkwri vddi aumr nwl nzr ivc KrwbI bwry jwxkwri glokomw bwry jwxkwri swfy kolon AMgryzI ivc kuj hor isrlyk vi iml skdy hn[ ieh AwfIE, iprmt jw bryl ivc lyx lei Awrfr kiqw jw skdw hy[ ies bwry hor pqw krn lei ikrpw krky swfi hylplwein qy tylipon kro (swriaw kwlw dw ^rc sqwnk ryt Anuswr hy), ies pqy qy eimyl kro jw swfi vy~bsweit dyko[ jykr quhwfi jw quhwfy iksy jwxkwr di nzr cli gei hy, qw AsIN quhwfi mdd krn vwsqy hw[ ieh jwxkwri roiel koilj Aw& AO&Qwmoloijst Aqy roiel nysnl iemstiicaut Aw& blwiemf pipl, jo ik ien&rmysn stynfrf dy prvwnq mynbr hn, vlon iml ky iqawr kiqi gei hy[ kwpi rweit RNIB and RCOphth roiel nysnl iemstiicaut Aw& blwiemf pipl rijstrf cyrti nmbr roiel koilj Aw& AO&Qwmoloijst rijstrf cyrti nmbr PrvrI 2012 irivau di qrik PrvrI 2013